Covid19 initiative supporting NHS frontline workers
Covid19 amazing initiative supporting our frontline NHS workers during the Coronavirus crisis. Inspired by my friend Anthea Allen, Senior Sister in Critial Care at St George’s hospital; 2 friends of mine Janneke and Niall, set up this amazing initiative. Getting together a group of local volunteers to run meals direct to front line workers in ICU, numerous wards, A&E and paramedics 3 times a day. These front line staff were struggling to access meals when at work at the hospital.
The volunteers have worked with local business and restaurants willing to offer healthy meals at hugely discounted price. This food has been delivered to St Georges Hospital every day at lunchtime, early evening and night, to feed front line staff on all their shifts.
It has been such a morale boost for everyone. This initiative is helping local businesses and looking after these incredibly brave and dedicated staff at the same time.
Currently delivering 200 freshly prepared and cooked meals direct to the front line NHS workers 3 times a day. Deliveries are undertaken by a team of local volunteers, who drive to the donating restaurants, collect and load the food and take it straight to the hospital whilst still hot. Medical Students meet the vehicles and take the food straight to the staff on the wards, Critical Care Units and A&E.
The businesses are delighted to help and have gone the extra mile, personally decorating cupcakes with special morale boosting messages and popping in extra treats to show their appreciation for everything the staff are doing.
In addition, the charity have used funds raised, to buy essential PPE, in particular goggles for front line staff. To ensure they received them as quickly as possible before more of them were put at risk. They also donated 10 ipads to enable conscious patients to communicate directly with their relatives as they are necessarily in hospital without visitors.
The charity founders are currently looking at collaborating with other similar operations set up to support other London hospitals.
Please share this with anyone who can support us and send donations to this link:
Covid19 amazing initiative supporting our frontline NHS workers, please support them if you can
Follow @CriticalNhs for regular updates.
The heartfelt plea from my friend Anthea, a Senior Sister on CCU – which triggered this initiative:
Covid19 initiative supporting our frontline NHS workers
I am a Senior Sister on Critical Care at St Georges Hospital. The hospital is in crisis- our executive staff are being amazing and the front line staff incredible. My nursing colleagues expose themselves daily to the the threat of Covid 19.The hospital are doing all they can to protect the staff with PPE training to safely care for all patients.We are opening other areas within the hospital to nurse critically ill patients in and employing agency staff to help out. We continue to receive trauma patients and those suffering from other medical or surgical issues through accident, illness or surgery.I am proud of my colleagues.
The nurses are stretched to the limit anyway but now are under immense pressure. I have seen tears, fear and exhaustion and last week some of the shops within St Georges refused to sell food, drinks & snacks to staff in scrubs or uniforms so staff missed meals. Supplies have been stolen and the hospital are working hard to put additional measures in place.
Please remember to spare a thought for the nurses who directly care for the patients and families on Critical Care and the dedicated wards in very difficult circumstances, frequently without appreciation, working long hours, skipping breaks and going the extra mile to ensure patients feel safe and well cared for. All while wearing cumbersome protective gear.
On Friday a friend of mine dropped off a huge box of doughnuts for the nurses on my unit that I took to work. They were so appreciated and within an hour were gone!.
Please note. It doesn’t matter how many ventilators we make, we need the skilled Critical Care nurses to operate them. Most doctors cannot operate a ventilator…Keep safe, wash your hands and remember- nurses are amazing.
An update from Anthea:
To all my friends, friends of friends, neighbours and this community.
I have been overwhelmed and amazed by the incredible generosity shown to my colleagues and myself since I sent my first email. I had hoped to gain some biscuits and possibly a homemade cake to share with my colleagues.
BUT…I did not expect this response.
The support has been beyond incredible. I have so far received a total of 9 bin bags packed with biscuits, chocolate, cake, biscuits and cereal bars. My staff have been fed with pizza, curry, Mediterranean fare, homemade cookies, brownies, homemade bread, cheese, doughnuts and huge baskets of fresh fruit.
I have received cards, emails and messages of support.
Friends have given me a lift to work. Each day there is more. Last night I arrived home beyond exhausted and there was a tin of homemade chocolate brownies sitting on the doorstep – there was a card saying “thank you nurses” I have no idea who made them but thank you.
The local school have emailed me offering support and to arrange food deliveries of sandwiches.
The heart warming kindness of strangers and the warm spirit of local people and my very dear friends and those further afield has warmed my heart.
Local friends have set up a funding page which has raised over £7000 in 2 days.
I have no words to express my gratitude.
The staff of Critical Care who are working tirelessly have been kept afloat by this support. They no longer have to bring their meals to work. Food is shared with other Covid19 wards.
Everyone is trained and competent in strict infection control procedure and the “donning and doffing” of PPE (personal protective equipment). All are trained to care for Covid patients who are strictly cohorted together being cared for by a team of Critical Care trained and experienced nurses, supported by ward nurses and student nurses. The team of doctors, nurses, physiotherapists and other healthcare professionals are working long hours with these patients and we also have our usual non Covid Critically ill patients.
The entire Trust are being incredible, Doctors, nurses, reception staff, ward clerks, porters, cleaners, security, nurse educators, technicians, lab workers, blood bank staff, pharmacists, dietitians and many others who help in keeping the big ship St Georges afloat.
I am proud to work for our NHS and please do not underestimate how much your kindness and generosity means to us all.
As one nurse said
“We are like the band in the Titanic film- we keep on playing while the ship goes down”
This ship will not sink and we will keep on keeping on.
Thank you, thank you, thank you.
Stay at home, wash your hands and be kind to each other.
Staff are working hard and are greatly affected emotionally by this crisis but I have seen much laughing and chatting among my colleagues while they are munching on pizza!
If you would like to contribute financially to a fund to help feed and support the nurses on Critical Care at St Georges my amazing friends have set up.
A further update from Anthea – Senior Sister on Critical Care – Covid19 initiative supporting our frontline NHS workers
The ongoing support that has overwhelmed me when I first made a request for biscuits has continued. @CriticalNhs (follow on Twitter)has been set up and run like a business – an efficient, well run, immediate response business started by Janneke & Niall who I am proud and honoured to call my friends. This has exploded.
I think you guys should run the NHS!
We needed biscuits and from that came delicious meals 3 times a day for my Critical Care team and other areas of the hospital. We have PPE top ups, fresh fruit & veg, spaghetti – scooped up fast by our Italian nurses, radios, chocolate, bespoke name badges, cake, hand cream, free parking at the hospital for staff, tablets for the patients to communicate with and one night fresh green leaves were delivered for one of our nurses rabbits.
The compassion shown by individuals has been outstanding. The clapping, the rainbows and for me – I appreciate every single email, text and message of support and the gifts & donations that end up on my doorstep!
I have been a nurse for 25 years. 23 of those in Critical Care and I thought I had seen everything.
Critical Care has changed over night. It’s like being in a sci fi movie – staff gowned up with visors, masks & head covers. Our usual capacity of ventilated beds has increased into wards, operating theatres & anaesthetic rooms. From 3 Critical Care units with a total of 30 beds, we now have 147 Critical Care beds in 7 areas. Highly trained nurses who usually care for one intensive care patient now have 3-4 patients, with helpers who are ward nurses and many have never before set foot on an intensive care unit- It’s a different environment- in a different world. This is before we escalate into Excel.
It’s tough. It’s hard, it’s claustrophobic in the gowns, masks & visors. Nurses are thirsty, enclosed in a room for 12 hours who’s only escape is to eat or visit the toilet. I saw one of my friends with blood on her scrubs as she had no time to change her tampon.
It’s raw and real and a halloumi wrap, pizza, curry or chocolate brownie is helping us through this tsunami.
I speak on behalf of nurses as I am one but we could not survive without doctors, porters, clerical staff, technicians, physios, dietitions, cleaners, lab staff, engineers, security and the fabulous volunteers who’s step count exceeds 20,000 steps a day. The NHS staff work tirelessly, abandoning their days off and giving all that they have.
We also have our usual Critical Care patients. Accidents, illness, cardiac arrests still happen and people still stab and harm each other despite the world being in crisis.
I have mopped up tears & cuddled nurses and passed chocolate around- limited social distancing in the hospital. Many of our nurses are from Europe or Ireland and miss their family. As part of my usual role is nurse recruitment, I get to know the nurses well and the younger ones call me “Mama Anthea” I have become a temporary parent to some of our young nurses. I am also proud to have recruited my daughter Claudia as our new ward clerk until she can return to uni in Bristol.
It’s tough for us but tougher for the patients who have no visitors & are scared of this unknown & vicious virus.
Thank you for caring for us. We will keep on keeping on. The “keep calm and carry on” slogan from the 1940’s rings true.
Keep clapping, put rainbows in your window and stay at home.
My thanks on behalf of a truly fabulous group of people
If you want to help CriticalNhs who provide meals and many other items to support the staff at St Georges.
This is the link.
Further update from Anthea on Sunday 12th April – Covid19 initiative supporting our frontline NHS workers
ICU nurses are meticulous. Attention to detail is high on our list. I have many friends who carefully label the jars in their larder as we are so conditioned to labelling drugs and equipment to ensure we are alert to expiry dates or what a specific drug is and it’s dose. ICU nurses love to label.We keep a diary for patients so when they recover they can know their journey. If they don’t survive, feedback tells us that these diaries are a comfort to family.
We brush patients teeth, change their position, talk to patients who are unconscious. Explain to family, wash hair. Smuggle in a dog to visit, put a favourite teddy in the bed. Respect religion, race, sexuality. I have repositioned a bed to face Mecca and dropped off a valentine card for an elderly patients wife. We give the same high standard, skilled, excellent quality care to every person. Deal with all intimate procedures for our patients as well as operate ventilators, support organ failure with specialised drugs and machinery. Competent, skilled, highly knowledgeable, kind and caring group of individuals who are proud to be a Critical Care nurses.
It’s different now. We are in a growing storm.
Just fire-fighting to do whatever we can to keep someone alive, to try our best to help them beat this unrelenting deadly virus.
There are nurses to help who are unfamiliar with the ICU environment. The personal care is impossible. One nurse said to me “I don’t even know my patients names”
This is not our usual place of work. There is a back drop. It’s like being in a weird dream. We all have trouble sleeping and so many of our permanent nurses who come from all over the world – want to go home. They probably will after this is done. We are broken.
True to form – there is hilarity amid the madness. Nurses have a sick sense of humour. We are laughing and crying and support each other. We have offers of counselling but the nurses are too busy and their priority outside the environment is to eat, sleep and have a very long shower. One day some of the nurses had the names of pop stars written on their gowns rather than their own name. I didn’t recognise Beyonce at all, a large male cardiac ICU nurses I think!!
We feel wretched and exhausted and tired while at work, guilty when not at work as we know there are not enough staff with the patients. Nurses work extra days. If I am not at work, I am coordinating staffing, rushing through temporary staff. Arranging ID cards and PC access. Ordering supplies, planning the opening of new make shift areas and procuring new equipment and talk to overwhelmed nurses.
I walked through one of the ICUs a few days ago and blew kisses at the nurses I know & recognise beneath swathes of fabric, plastic and paper. Possibly I didn’t know them but they got a kiss anyway! Today I received a text message from one of the Italian nurses. “Please come by and send me flying kisses again”
The level of anxiety increases immeasurably each day. Often too traumatic & surreal to talk about what we see and do. It’s particularly tough for the junior staff who work day after day expected to suddenly lead & guide staff from other areas.
We live a parallel life while others take the quarantine art challenge, plan Easter egg hunts and are bored at home. We continue on and on and on and still more patients arrive. They feel ill and scared. One man said “please don’t let me die”
Thank you for your support. Keep it going. I think nurses will need support way beyond this time. Every card, email, text, WhatsApp makes a difference. The support I
receive powers me on to support my incredible team of critical care nurses. If you know a nurse- send them a message or drop something on their doorstep.
This is a different way of nursing. Unchartered with no end in sight.
There are many NHS workers, some unseen who are struggling. The mortuary staff who have an endless stream of dead bodies to store. Our mortuary is full. The lab technicians who have to process the stream of swabs as well as their daily testing of blood & specimens. Our technicians servicing & cleaning the ventilators -some are over 50 years old and repurposed. The pharmacy- keeping up with the supply of drugs required. Recruitment who are processing new, redeployed & temporary staff. Many NHS workers. The nurses and doctors on the front line and our entire team. I share your donations & messages with them too. A junior doctor told me “when this is done – so am I- no amount of money could make me stay” she then asked who sent in the delicious figs!
I appreciate all the messages. I can’t always reply as I am working or don’t know what to say or I am just totally exhausted.
Keep safe, keep smiling and never underestimate the importance of staying at home at this time.
Further update from Anthea on Tuesday 21st April – Covid19 initiative supporting our frontline NHS workers
Your messages and words of support continue to warm my heart and feedback indicates that you want to learn of the reality from the stark coal face. The front line.
The PPE is suffocating. It’s hot, it’s tight.
Further update from Anthea on Monday 27th April
Today a total stranger, connected with another stranger though the new and amazing community network fired up by an email from me asking for biscuits @CriticalNhs.This stranger connection resulted in one of my lovely European nurses being lent a flat to live in for a few weeks. No rent, no bills. Just a set of keys and the wifi password. What’s the catch? Absolutely none. Only the unconditional respect for Critical Care Nurses.
I am astounded by the generosity and ongoing, unfailing respect and gratitude for NHS staff since we left our old world and entered this new one. Thank you seems not enough for the endless stream of offers of help I receive. A “stranger” friend said “you need anything, you just ask” and I did ask and he did help.
It is quieter now but a level of crazy still fills the air. The Trust have put efforts into staff wellbeing, providing hubs to relax in that offer hot drinks and refreshments. Sadly many of us are still too busy to pay a visit but I definitely plan to and there is “real coffee!”
I miss the old way of working. The familiar spaces and machinery. I knew where the syringes were kept, where we keep the attachments for the ventilators, the property book and where we hide the keys to the cupboard.
Yesterday I didn’t recognise a friend in PPE and when she spoke I couldn’t hear her as my Hazmat suit covered my ears. My FFP3 mask had pushed up my glasses so I couldn’t see her and my voice was muffled through the visor so when I spoke to her she couldn’t hear me! We did laugh and bump elbows.
How I took for granted our cool, navy, cotton scrubs and seeing our colleagues faces?
The tide has changed direction somewhat. The resilience of staff has blossomed and we are settling into our new normal. We have some empty beds and less admissions. We are discussing our hygiene regime once we arrive home after work, bargaining with each other for various cotton scrub hats, swaps for a various colour or design. The mantra of “whats for lunch?” starts from mid morning but none of us want to relax as the invisible monster can rear its ugly head at any moment.
I have not cried at work for years. We all take a private moment when sadness overwhelms us or if we identify with a particular patient, but yesterday I felt a deep sadness that stayed with me all day. I cried in the office on my lunch break worrying our lovely receptionist. Then came home and cried in the shower and cried again. I had a large glass of wine and cried some more.
My patient was dying. I pride myself on my end of life care but I had never imagined taping my iPhone to a drip pole with Elastoplast and angling it with a nappy so the camera looked onto my patients face so her husband and children “could be with her” as she died. It was the best I could do but far from good enough. The iPad intended for this use was too complicated to set up with Skype so in order to connect the family as soon as possible, I had to make do. Usually families stay with a patient when they die, hold their hand, lie next to them, brush their hair. This felt so wrong & crude, deviating from protocol while creating a make-shift intimate forum.
This woman should not be dying. She should be at home nagging her children to do their homework or brush their teeth. Discussing with her husband what to have for supper. Normal Mum and family stuff.
My mood was lifted early evening when 3 junior nurses banged on the glass door waving at me “Mama Anthea” I could see they were smiling beneath their masks. I am always struck by how these young woman have immaculate eyeliner at the end of a shift. A passing doctor gave me a wave too- we all look out for each other.
This pandemic is straining our health system. There are debates about PPE. Jigsaws are popular again. We clap on Thursdays, children make rainbows, neighbours chat to one another.
This is a strange time requiring resilience, strength and hope.
We can only do our best and the staff I have the privilege of working with are doing their very best and so much more. We have many staff from Europe, India, the Philippine’s and from all over the world. These dedicated and fabulous people help hold up our health service.
We do have the strength to keep fighting this battle.
We will go to work, you stay at home.
Further update from Anthea on Monday 18th May 2020
The best rendition of the Mad Hatters Tea Party was when we yet again relocated 16 patients so another one of our ICU’s can be deep cleaned.
There is a degree of madness in transferring the kit and caboodle of a Critical Care patient. It takes many staff members bumping a bed down the corridor into the lift with the over -sensitive automated doors opening and closing while drip poles and the patients cot sides and other paraphernalia become jammed.
The lift alarm screaming while brute force is required to propelle the bed forward over the lift threshold which is never exactly the same level as the floor you have alighted at!
All done, we then ate delicious home made raspberry & lemon cake courtesy of “The Jam Tarts”
Long term patients improving and leaving the ward after a precarious and stormy Covid journey is always heart warming but there was not one dry eye when a patient left Critical Care for the ward after a full recovery. A man we thought would die despite our best care. He was wheeled out to a standing ovation from ward clerk to consultant – he “high fived” as he passed. It was magical.
Our new normal has settled, we are adapting our non ICU. The “can do” staff have devised new ways. A vomit bowl has been converted into an iPad stand (since writing this, we now have a fabulous gadget to hold them in place)Beds manoeuvred to create the space we need to house all the machinery required. The Weetabix stash has been relocated and ventilation tubing and filters are in their place in perfectly labels boxes. Nurses are ingenious and practical.
Despite Covid-19, Critical Care still admits regular patients into our green zone. A teenager who drank too much at a party (despite lockdown) the elderly woman hit by a car, a brain haemorrhage in a young man. A patient with a burst appendix, an overdose, asthma attack, a cardiac arrest, stroke, motorbike accident, a fall downstairs or off a roof. The many individuals who arrive at our door to be fixed, cared for, who recover or not. St Georges is still open for business and these patients can be cared for in a safe Covid free space.
Since the war began our head of nursing and matrons have stayed all night on occasion to plan and ensure we have supplies and safe staffing levels. Doctors who do not work in critical care have learned new skills, cleaners have to don full PPE to empty a bin or clean the floor, the porters who transfer people, equipment, documents and bodies to their next destination.
NHS staff are super heroes fuelled by the compassion and support from all of you (and cake)
One Spanish nurse finished her 12 hour night shift, removed her PPE, her face lined from the mask but with intact red lipstick that matched her scrub hat “but of course” she shrugged when I commented.
At the start, in March when the floodgates opened there were criteria set for who should be admitted, who should be palliated. We had to ensure there were beds for those who needed them. We have space now.
I recall a conversation with a woman who had a poor medical history and tested positive for Covid-19. The consultant asked in the kindest way, Did she want to be ventilated? Did she want CPR? What level of medical intervention was acceptable to her? It’s a tough conversation to have but so much better to talk with the patient directly so should they deteriorate, we know what they have chosen.
This woman wanted to discuss this with her sister, know she would never be in pain and she asked that her niece take care of her cat.
A DNR order was instituted and discarded once she improved and was discharged to the ward.
Covid patients surrender themselves to us. It isn’t just Covid-19 that attacks them. Perhaps a cytokine storm which overwhelms them, a bacterial pneumonia, a bleed on the brain or mainly- multi organ failure.
The nurses are there for them. We move a bed next to a window so the patient can see the trees. A patient with learning difficulties watches Peppa Pig on a loop. Mouth swabs are dipped in orange juice. A senior sister on night shifts, always gives a foot massage to a particular patient to help him sleep.
It is calmer and quiet but the cracks are beginning to show.
“My head spins, my heart pounds in my chest and I can’t breath”
“I have nightmares every night”
These nurses are now receiving counselling but I am alert for others that need support.
We care for each other, laugh together, cry together and there is nothing like a full on PPE hug. Hugs are a basic human need. I miss hugging my non work friends & family. Nurses are lucky. We get more hugs than anyone from someone who totally “gets it”
Don’t forget us. This has not gone. If the predicted surge doesn’t happen we are very, very lucky but if it does happen we know how it feels to drown- this time we have a few life jackets.
We focus on recovery and rehabilitation for some patients or enable a good death to those who will not survive.
I hear my emails are spread far and wide and people ask if there is anything they can do to help.
I challenge you all at this time with these 3 things to help us and help you.
1, Talk to your family about your end of life wishes.
2, Talk to your family about organ donation.
3, Always wear a helmet on a bike. If you are on a family cycle in a park and one of you cycles downhill fast and your chain snaps and you hit the ground head first, at speed. A helmet may just make the difference.
No helmet and there may be one less person in your family.
Further update from Anthea on 30th May 2020
There are not enough Critical Care nurses. We have so many nurses from other areas who have stepped up and are stretching themselves way beyond their comfort zone, their knowledge base elsewhere. Senior staff have had to adapt to a different way. A dental nurse, a dementia specialist nurse, a nurse from theatre or endoscopy. Competent in their own area but suddenly removed from their context. Having to learn on the hoof and my shattered team need to direct, guide and supervise these new staff. Mostly we embrace this but it’s exhausting for us all.
I take charge and search the PPE masked faces to spot my own familiar staff. Yesterday the result of displaced staff had disastrous consequences.
I am sleeping so badly, we all are. Braced for the next punch. I have learned so much of the aetiology of Covid- it’s clues, it’s progress and supportive treatment. Having seen a multitude of different reasons for admission to Critical Care over the years, we are fast learning about a new disease process unfamiliar to us- in that respect this is easier. All the patients have the same issue, similar symptom, similar care and treatment. Unrelenting. Less madness but the patients are still arriving and there are patients who have been with us for weeks, but we are coping.
A patient left our ICU last weeks free 40 days, for many of those he was ventilated and proned. “No clapping” he said. It was all too overwhelming. This man said “Covid didn’t get me, I got Covid” We have this pinned up on the wall in the red zone. We all have “battle fatigue” the space to think is now available and we are beginning to unravel.
Sadly I have been a victim of the “crying thing“ again. It’s actually a relief to cry. I was in a safe space with my family and my son- unprompted gave me a kiss – this never normally happens!
I am not sure if we will have a surge like the first wave that hit but this virus keeps revealing it’s victims.
Patients who cannot speak English must be so scared. We rely on a member of staff speaking the same language. One woman was on holiday in London when Covid struck her. It will be a long time until she returns to her home in Poland.
Our world feels broken. There is an economic downturn. Shops are boarded up. I cycled through central London last week now owned by runners, cyclists and walkers. The streets quiet but the parks are crowded as if there is a festival on.
Behind the doors of St Georges we plan, devise new protocols and weekly this changes. We have adapted, we navigate the obstacles, we continue on, mustering up fresh energy and perspective Frequently moving patients, opening new areas, disrupting staff. Clean areas, dirty areas, Covid zones.
The highlight of the 9th clap was a trip to the helipad at St Georges. We clapped for front line workers and the BBC who filmed us – an amazing experiences to share with my daughter Claudia working on Critical Care at St Georges as our temporary ward clerk with her politics and IR degree on hold. She will return to Bristol in September with an unexpected life experience under her belt.
We remain challenged by a different space at work. Nurses are resilient, as a senior consultant pointed out – we don’t complain about the work. We complain about the lack of parking and office space.
For now things have improved but we wait and see. I am emotionally robust but this has hit me hard. The NHS is usually stretched to the limit usually but now has to cope with the arrival of patients who have been “hanging in there” at home. They are really unwell and it’s not always possible to fix them. Reluctant and scared to come to hospital to be treated and there is no cure.
Please remember- as your world starts returning to some semblance of normal. It’s not over. Please keep washing your hands.Behind the orange brick walls, we are still fighting this. Our incredible, unbreakable and fabulous team shine brightly.
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